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KMID : 0614620020390010001
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Korean Journal of Gastroenterology
2002 Volume.39 No. 1 p.1 ~ p.3
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The Interval of Screening for Early Detection of Hepatocellular Carcinoma
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한준열/Joon Yeol Han
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Abstract
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Screening for detection of hepatocellular carcinoma (HCC) has been accepted for the management of patients with chronic liver disease. In order to decrease mortality, the early detection of HCC is very important. Generally, HCC smaller than 3㎝
in
diameter can be cured. Ultrasonography is the most frequently used imaging test for screening of HCC. HCC smaller than 1㎝ is seldom detected with ultrasonography. Therefore, the duration of growth from 1㎝ to 3㎝ appears to be used to determine
the
optimal interval of screening for HCC. The mean doubling time of HCC has been reported to be between 3.5 and 7 months, its difference was variable according to patients. Therefore, six-month screening is believed to detect most of HCC smaller
than
3㎝.
However, shortening of the interval and/or the use of additional diagnostic methods such as abdominal CT should be considered according to clinical characteristics of patients.
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KEYWORD
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